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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60535/psn-pdf
    May 27, 2020 - Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern, doctors say. May 27, 2020 Abdelmalek M, Bruggeman L. ABC News. May 14, 2020. https://psnet.ahrq.gov/issue/dramatic-drop-cancer-diagnoses-amid-covid-pandemic-cause-concern- doctors-say The COVID-19 pandemic has reduced patient use of prima…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74209/psn-pdf
    December 22, 2021 - Aligning patient safety and stewardship: a harm reduction strategy for children. December 22, 2021 Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-00227-6. https://psnet.ahrq.gov/iss…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74128/psn-pdf
    December 01, 2021 - Call to action: addressing pediatric fall safety in ambulatory environments. December 1, 2021 Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. https://psnet.ahrq.gov/issue/call-action-ad…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74850/psn-pdf
    February 16, 2022 - Medicare penalizes dozens of hospitals it also gives five stars. February 16, 2022 Rau J. Kaiser Health News. February 8, 2022.  https://psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars Rating systems face challenges to accurately represent the safety and quality of patient ca…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50644/psn-pdf
    November 06, 2019 - Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. November 6, 2019 US House of Representatives Committee on Veterans Affairs Subcommittee on Oversight and Investigations. 116th Cong, 1st Sess (2019). https://psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-syste…
  6. psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
    May 08, 2019 - Predictors of in-hospital postoperative opioid overdose after major elective operations: a nationally representative
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38793/psn-pdf
    August 12, 2016 - Pediatric Quality Indicators Overview. August 12, 2016 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/pediatric-quality-indicators-overview The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available ad…
  8. psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
    April 08, 2018 - Study Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics. Citation Text: Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and fa…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865970/psn-pdf
    May 29, 2024 - A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. May 29, 2024 Connolly A, Kirwan M, Matthews A. A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in admin…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867192/psn-pdf
    November 20, 2024 - 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. November 20, 2024 2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088 https://psnet.ahrq.gov/issue…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36604/psn-pdf
    June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports. June 4, 2024 St Paul, MN: Minnesota Department of Health. https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report The National Quality Forum has defined 29 never events—patient safety problems that should never occur, such as wrong-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35001/psn-pdf
    May 22, 2009 - 21st Century Health Information Act of 2005. May 22, 2009 Murphy T; Kennedy P. https://psnet.ahrq.gov/issue/21st-century-health-information-act-2005 This bill, which garnered bipartisan support, proposes developing health information technology networks (known as "Regional Health Information Organizations," or RHI…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862124/psn-pdf
    February 07, 2024 - The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. February 7, 2024 Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Jt Comm J Qual Patient Saf. 2024;50(2):95…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853967/psn-pdf
    January 01, 2024 - How different countries respond to adverse events whilst patients' rights are protected. September 27, 2023 Gil-Hernández E, Carrillo I, Tumelty M-E, et al. How different countries respond to adverse events whilst patients’ rights are protected. Med Sci Law. 2024;64(2):96-112. doi:10.1177/00258024231182369. https:…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45948/psn-pdf
    January 01, 2021 - Preoperative site marking: are we adhering to good surgical practice? July 26, 2017 Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398. https://psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73185/psn-pdf
    April 28, 2021 - Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. April 28, 2021 Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21. https://psnet.ahrq.gov/issue/…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852284/psn-pdf
    August 09, 2023 - ‘Medical errors are the third leading cause of death’ and other statistics you should question. August 9, 2023 Jaklevic MC. HealthJournalism.org. July 27, 2023. https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should- question Published rates of medical errors con…
  18. psnet.ahrq.gov/print/pdf/node/867659
    July 10, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Rapid Response Systems Curated Library Primers Rapid Response Systems UC Davis PSNet Editorial Team | September, 15 2024 Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of imminent clinical de…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33591/psn-pdf
    March 15, 2025 - Triggers and Trigger Tools March 15, 2025 Triggers and Trigger Tools. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/triggers-and-trigger-tools PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safet…
  20. psnet.ahrq.gov/primer/health-care-associated-infections
    December 15, 2024 - Healthcare-associated Infections Citation Text: Healthcare - Associated Infections. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

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